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Are volunteering and caregiving associated with suicide risk? A Census-based longitudinal study

BACKGROUND: Opposing risks have been identified between different prosocial activities, with volunteering having been linked to better mental health while caregiving has been associated with higher prevalence and incidence of depression. This study explored suicide risk of people engaged in prosocia...

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Autores principales: Rosato, Michael, Tseliou, Foteini, Wright, David M., Maguire, Aideen, O’Reilly, Dermot
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6788116/
https://www.ncbi.nlm.nih.gov/pubmed/31601191
http://dx.doi.org/10.1186/s12888-019-2255-8
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author Rosato, Michael
Tseliou, Foteini
Wright, David M.
Maguire, Aideen
O’Reilly, Dermot
author_facet Rosato, Michael
Tseliou, Foteini
Wright, David M.
Maguire, Aideen
O’Reilly, Dermot
author_sort Rosato, Michael
collection PubMed
description BACKGROUND: Opposing risks have been identified between different prosocial activities, with volunteering having been linked to better mental health while caregiving has been associated with higher prevalence and incidence of depression. This study explored suicide risk of people engaged in prosocial activities of caregiving and/or volunteering. METHODS: A Census-based record linkage study of 1,018,000 people aged 25–74 years (130,816 caregivers; 110,467 volunteers; and 42,099 engaged in both) was undertaken. Caregiving (light: 1–19; intense: ≥20 h/week), volunteering and mental health status were derived from 2011 Census records. Suicide risk (45 months follow-up) was assessed using Cox models adjusted for baseline mental health. RESULTS: Intense caregiving was associated with worse mental health (OR(adj) = 1.15: 95%CI = 1.12, 1.18) and volunteering with better mental health (OR = 0.87: 95%CI = 0.84, 0.89). For those engaged in both activities, likelihood of poor mental health was determined by caregiving level. There were 528 suicides during follow-up, with those engaged in both activities having the lowest risk of suicide (HR = 0.34: 95%CI = 0.14, 0.84). Engaging in either volunteering or caregiving was associated with lower suicide risk for those with good mental health at baseline (HR = 0.66: 95%CI = 0.49, 0.88) but not for their peers with baseline poor mental health (HR = 1.02: 95%CI = 0.69, 1.51). CONCLUSIONS: Although an increased risk of poor mental health was identified amongst caregivers, there was no evidence of an increased risk of suicide.
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spelling pubmed-67881162019-10-18 Are volunteering and caregiving associated with suicide risk? A Census-based longitudinal study Rosato, Michael Tseliou, Foteini Wright, David M. Maguire, Aideen O’Reilly, Dermot BMC Psychiatry Research Article BACKGROUND: Opposing risks have been identified between different prosocial activities, with volunteering having been linked to better mental health while caregiving has been associated with higher prevalence and incidence of depression. This study explored suicide risk of people engaged in prosocial activities of caregiving and/or volunteering. METHODS: A Census-based record linkage study of 1,018,000 people aged 25–74 years (130,816 caregivers; 110,467 volunteers; and 42,099 engaged in both) was undertaken. Caregiving (light: 1–19; intense: ≥20 h/week), volunteering and mental health status were derived from 2011 Census records. Suicide risk (45 months follow-up) was assessed using Cox models adjusted for baseline mental health. RESULTS: Intense caregiving was associated with worse mental health (OR(adj) = 1.15: 95%CI = 1.12, 1.18) and volunteering with better mental health (OR = 0.87: 95%CI = 0.84, 0.89). For those engaged in both activities, likelihood of poor mental health was determined by caregiving level. There were 528 suicides during follow-up, with those engaged in both activities having the lowest risk of suicide (HR = 0.34: 95%CI = 0.14, 0.84). Engaging in either volunteering or caregiving was associated with lower suicide risk for those with good mental health at baseline (HR = 0.66: 95%CI = 0.49, 0.88) but not for their peers with baseline poor mental health (HR = 1.02: 95%CI = 0.69, 1.51). CONCLUSIONS: Although an increased risk of poor mental health was identified amongst caregivers, there was no evidence of an increased risk of suicide. BioMed Central 2019-10-11 /pmc/articles/PMC6788116/ /pubmed/31601191 http://dx.doi.org/10.1186/s12888-019-2255-8 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Rosato, Michael
Tseliou, Foteini
Wright, David M.
Maguire, Aideen
O’Reilly, Dermot
Are volunteering and caregiving associated with suicide risk? A Census-based longitudinal study
title Are volunteering and caregiving associated with suicide risk? A Census-based longitudinal study
title_full Are volunteering and caregiving associated with suicide risk? A Census-based longitudinal study
title_fullStr Are volunteering and caregiving associated with suicide risk? A Census-based longitudinal study
title_full_unstemmed Are volunteering and caregiving associated with suicide risk? A Census-based longitudinal study
title_short Are volunteering and caregiving associated with suicide risk? A Census-based longitudinal study
title_sort are volunteering and caregiving associated with suicide risk? a census-based longitudinal study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6788116/
https://www.ncbi.nlm.nih.gov/pubmed/31601191
http://dx.doi.org/10.1186/s12888-019-2255-8
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